1. MCQ in Neonatology
• Dr Varsha Atul Shah

2. Q1 Recognised benefits of breastfeeding include all of
the following EXCEPT
(1) Diminished risk of feed allergy in later life.
• Decreased risk of necrotizing enterocolitis.
• Lesser risk of viral gastroenteritis during infancy.
• Lesser risk of haemorrhagic disease of the
newborn.

3. Q2 You are counseling a mother who just delivered a
normal, fullterm, healthy baby. For some personal
reasons, she has opted for formula feeding. In
counseling her regarding the nutritional requirement
of her baby, you most likely suggest an intake of
about
(1) 40 – 70 kcal / kg / day.
• 70 – 90 kcal / kg / day.
• 90 – 120 kcal / kg / day.
• 120 – 150 kcal / kg / day.

4. Q3 To meet the target caloric requirement, if the
parents are using regular term baby formula, they
should feed the baby about
(1) 70 – 100 ml / kg / day.
• 100 – 130 ml / kg / day.
• 140 – 180 ml / kg / day.
• 180 – 220 ml / kg /day.

5. Q4 Soy protein-based formula is NOT indicated in
which of the following conditions?
(1) Hereditary lactase deficiency
(2) Galactosemia
(3) Child whose parents what to avoid any
animal product in diet.
(4) Infant whose birth weight is < 1800 gm.

6. Q5 Human breast milk is the reference point against
which all the other formulae are developed.
Which of the following statements is TRUE about
human breast milk in comparison to cow’s milk?
(1) Protein content in human breast milk is higher than cow’s
milk.
(3) Carbohydrate content in human milk is higher than cow’s
milk.
(5) The predominant protein in human milk is casein protein.
(6) Total mineral content in breast milk is higher than cow’s
milk.

7. Q6 At birth, a newborn infant is noted to have the
following findings: heart rate – 70/min, respiratory
effort – poor and irregular, limp, no reflex
irritability, blue all over the body. The Apgar score
of the baby at this point is
• 0
• 1
• 2
• 3

8. Q7 Based on current understanding, which of the
following statements regarding Apgar scoring is
CORRECT?
(1) Majority of the babies with low Apgar scores will
develop cerebral palsy in future.
(2) Majority of the babies with cerebral palsy had poor
Apgar score.
(3) First minute Apgar score is a better predictor of
perinatal hypoxia than scores at ten minutes.
(4) None of the above.

9. Q8 Fetuses make breathing movement in-utero.
(1) True
• False

10. Q9 In the fetus, the pressure in the right atrium
and ventricle is higher than left atrium and
ventricle.
(1) True
• False

11. Q10 A newborn baby’s blood glucose level
rises immediately after birth.
(1) True
• False

12. Q11 In term healthy infants, the core temperature
will fall after birth by about 3 degrees Celsius.
(1) True
• False

13. Q12 Sodium bicarbonate is a commonly used
medication during newborn resuscitation.
(1) True
• False

14. Q13 Energy stores in the fetus builds up mostly
during the second trimester of the pregnancy.
(1) True
• False

15. Q14 The ability of the newborn to concentrate and
excrete solutes is less compared to toddlers.
(1) True
• False

16. Q15 Periventricular leucomalacia is a common
finding in hypoxic-ischaemic encephalopathy
in term infant.
(1) True
• False

17. Q16 In hypoxic-ischaemic encephalopathy, as the
cerebal edema develops, the brain function is
affected in descending order.
(1) True
• False

18. Q17 The quantity of iron in the breast milk is
less compared to infant formula.
(1) True
• False

19. Q18 The breast milk is inadequate to meet the
nutritional requirement of an infant born at
36 weeks of gestational age.
(1) True
• False

20. Q19 Decreasing lanugo hair over the back is a
sign of increasing gestational age.
(1) True
• False

21. Q20 Milky white or blood-streaked vaginal
discharge is the result of maternal
hormone withdrawal.
(1) True
• False